Cancer Causes & Control

, Volume 22, Issue 9, pp 1343–1349 | Cite as

Prevalence and implications of multiple cancer screening needs among Hispanic community health center patients

  • Karen M. Emmons
  • Dean Cleghorn
  • Trinidad Tellez
  • Mary L. Greaney
  • Kim M. Sprunck
  • Roshan Bastani
  • Tracy Battaglia
  • James S. Michaelson
  • Elaine Puleo
Original paper

Abstract

Objectives

To examine adherence rates for multiple cancer screening tests, which will inform prevention efforts in community health centers (CHCs).

Methods

We report on the prevalence of screening for multiple cancers (cervical, breast and colorectal) among 43,000 patients who are predominantly Hispanic, in four CHC sites that share an integrated electronic medical record.

Results

Among the 20,057 patients eligible for at least one test, 43% of the population was current on all screening targets; 15,887 additional screening tests were needed among 11,526 individuals.

Conclusions

Expanding use of health information technology in community health centers provides an opportunity to create an electronic infrastructure for addressing multiple screening needs from a patient-centered perspective.

Keywords

Cancer screening Low income Community health centers 

References

  1. 1.
    Yabroff K (2008) Interventions to improve cancer screening: commentary from a health services research perspective. Am J Prev Med 35(1 Suppl):S6–S9PubMedCrossRefGoogle Scholar
  2. 2.
    Afable-Munsuz A, Liang SY, Ponce NA, Walsh JM (2009) Acculturation and colorectal cancer screening among older Latino adults: differential associations by national origin. J Gen Intern Med 24(8):963–970CrossRefGoogle Scholar
  3. 3.
    Swan J, Breen N, Coates RJ, Rimer BK, Lee NC (2003) Progress in cancer screening practices in the United States: results from the 2000 national health interview survey. Cancer 15 97(6):1528–1540CrossRefGoogle Scholar
  4. 4.
    Hewitt M, Devesa S, Breen N (2004) Cervical cancer screening among US women: analyses of the 2000 national health interview survey. Prev Med 39(2):270–278PubMedCrossRefGoogle Scholar
  5. 5.
    White A, Vernon SW, Franzini L, Du XL (2011) Racial and Ethnic disparities in colorectal cancer screening persisted despite expansion of medicare’s screening reimbursement. Cancer Epidemiol Biomarkers Prev 20(5):811–817PubMedCrossRefGoogle Scholar
  6. 6.
    Centers for Diease Control and Prevention (CDC). (2008) Vital signs: colorectal cancer screening among adults aged 50–75 years—United States, MMWR Morb Mortal Wkly Rep 9, 59(26):808–12Google Scholar
  7. 7.
    Byrd TL, Peterson SK, Chavez R, Heckert A (2004) Cervical cancer screening beliefs among young Hispanic women. Prev Med 38(2):192–197PubMedCrossRefGoogle Scholar
  8. 8.
    Goel MS, Wee CC, McCarthy EP, Davis RB, Ngo-Metzger Q, Phillips RS (2003) Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. J Gen Intern Med 18(12):1028–1035PubMedCrossRefGoogle Scholar
  9. 9.
    De Alba I, Ngo-Metzger Q, Sweningson JM, Hubbell FA (2005) Pap smear use in California: are we closing the racial/ethnic gap? Prev Med 40(6):747–755PubMedCrossRefGoogle Scholar
  10. 10.
    Borrayo EA, Hines L, Byers T, Risendal B, Slattery ML, Sweeney C et al (2009) Characteristics associated with mammography screening among both Hispanic and non-Hispanic white women. J Womens Health (Larchmt) 18(10):1585–1894CrossRefGoogle Scholar
  11. 11.
    Wells KJ, Roetzheim RG (2007) Health disparities in receipt of screening mammography in Latinas: a critical review of recent literature. Cancer Control 14(4):369–379PubMedGoogle Scholar
  12. 12.
    Berwick DM (1996) Quality comes home. Ann Intern Med 125(10):839–843PubMedGoogle Scholar
  13. 13.
    Berwick D (1998) Charting the future of healthcare improvement. Qual Lett Healthc Lead 10(12):2–4PubMedGoogle Scholar
  14. 14.
    Pignone MP, Lewis CL (2009) Using quality improvement techniques to increase colon cancer screening. Am J Med 122(5):419–420PubMedCrossRefGoogle Scholar
  15. 15.
    Clark R, Geller B, Peluso N, McVety D, Worden JK (1995) Development of a community mammography registry: experience in the breast screening program project. Radiology 196(3):811–815PubMedGoogle Scholar
  16. 16.
    Somkin CP, Hiatt RA (1998) Screening mammography in an integrated health care system: the Kaiser permanente experience. Breast Dis 10(3–4):45–53PubMedGoogle Scholar
  17. 17.
    Ferris N (2010) Entry point. Health Aff (Millwood) 29(4):583–584CrossRefGoogle Scholar
  18. 18.
    Bates DW, Bitton A (2010) The future of health information technology in the patient-centered medical home. Health Aff (Millwood) 29(4):614–621CrossRefGoogle Scholar
  19. 19.
    Dietrich AJ, Tobin JN, Cassells A, Robinson CM, Greene MA, Sox CH et al (2006) Telephone care management to improve cancer screening among low-income women: a randomized, controlled trial. Ann Intern Med 144(8):563–571PubMedGoogle Scholar
  20. 20.
    Beach ML, Flood AB, Robinson CM, Cassells AN, Tobin JN, Greene MA et al (2007) Can language-concordant prevention care managers improve cancer screening rates? Cancer Epidemiol Biomarkers Prev 16(10):2058–2064PubMedCrossRefGoogle Scholar
  21. 21.
    Silka L, Cleghorn GD, Grullon M, Tellez T (2008) Creating community-based participatory research in a diverse community: a case study. J Empir Res Hum Res Ethics 3(2):5–16PubMedCrossRefGoogle Scholar
  22. 22.
    Merriam PA, Tellez TL, Rosal MC, Olendzki BC, Ma Y, Pagoto SL et al (2009) Methodology of a diabetes prevention translational research project utilizing a community-academic partnership for implementation in an underserved Latino community. BMC Med Res Methodol 9:20PubMedCrossRefGoogle Scholar
  23. 23.
    Spadea T, Bellini S, Kunst A, Stirbu I, Costa G (2010) The impact of interventions to improve attendance in female cancer screening among lower socioeconomic groups: a review. Prev Med 50(4):159–164PubMedCrossRefGoogle Scholar
  24. 24.
    Kressin NR, Manze M, Russell SL, Katz RV, Claudio C, Green BL et al (2010) Self-reported willingness to have cancer screening and the effects of sociodemographic factors. J Natl Med Assoc 102(3):219–227PubMedGoogle Scholar
  25. 25.
    Cleghorn GD, Nguyen M, Roberts B, Duran G, Tellez T, Alecon M (2004) Practice-based interventions to improve health care for Latinos with diabetes. Ethn Dis Summer 14(3Suppl 1):S117–S121Google Scholar
  26. 26.
    Gorin SS, Heck JE (2004) Meta-analysis of the efficacy of tobacco counseling by health care providers. Cancer Epidemiol Biomarkers Prev 13(12):2012–2022PubMedGoogle Scholar
  27. 27.
    Diaz JA, Roberts MB, Goldman RE, Weitzen S, Eaton CB (2008) Effect of language on colorectal cancer screening among Latinos and non-Latinos. Cancer Epidemiol Biomarkers Prev 17(8):2169–2173PubMedCrossRefGoogle Scholar
  28. 28.
    Haas JS, Brawarsky P, Iyer A, Garrett MF, Neville BA, Earle C, et al. (2010) Association of local capacity for endoscopy with individual use of colorectal cancer screening and stage at diagnosis. Cancer. (in press)Google Scholar
  29. 29.
    Brawarsky P, Brooks DR, Mucci LA, Wood PA (2004) Effect of physician recommendation and patient adherence on rates of colorectal cancer testing. Cancer Detect Prev 28(4):260–268PubMedCrossRefGoogle Scholar
  30. 30.
    Brawarsky P, Brooks DR, Mucci LA (2003) Correlates of colorectal cancer testing in Massachusetts men and women. Prev Med 36(6):659–668PubMedCrossRefGoogle Scholar
  31. 31.
    Breen N, Wagener DK, Brown ML, Davis WW, Ballard-Barbash R (2001) Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992, and 1998 national health interview surveys. J Natl Cancer Inst 93(22):1704–1713PubMedCrossRefGoogle Scholar
  32. 32.
    Meissner HI, Breen N, Klabunde CN, Vernon SW (2006) Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiol Biomarkers Prev 15(2):389–394PubMedCrossRefGoogle Scholar
  33. 33.
    Peterson NB, Murff HJ, Ness RM, Dittus RS (2007) Colorectal cancer screening among men and women in the United States. J Womens Health (Larchmt) 16(1):57–65CrossRefGoogle Scholar
  34. 34.
    Jandorf L, Ellison J, Villagra C, Winkel G, Varela A, Quintero-Canetti Z, et al. (2010) Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant hispanics. J Immigr Minor Health Jul 12(4):462–469Google Scholar
  35. 35.
    Goldman RE, Diaz JA, Kim I (2009) Perspectives of colorectal cancer risk and screening among dominicans and puerto ricans: stigma and misperceptions. Qual Health Res 19(11):1559–1568PubMedCrossRefGoogle Scholar
  36. 36.
    Lasser KE, Murillo J, Medlin E, Lisboa S, Valley-Shah L, Fletcher RH et al (2009) A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot study. BMC Fam Pract 10:37PubMedCrossRefGoogle Scholar
  37. 37.
    Shields AE, Shin P, Leu MG, Levy DE, Betancourt RM, Hawkins D et al (2007) Adoption of health information technology in community health centers: results of a national survey. Health Aff (Millwood) 26(5):1373–1383CrossRefGoogle Scholar
  38. 38.
    Taplin SH, Rollason D, Camp A, di Donato K, Maggenheimer E (2010) Imagining an electronic medical record for turning cancer screening knowledge into practice. Am J Prev Med 38(1):89–97PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  • Karen M. Emmons
    • 1
  • Dean Cleghorn
    • 2
  • Trinidad Tellez
    • 2
  • Mary L. Greaney
    • 3
  • Kim M. Sprunck
    • 3
  • Roshan Bastani
    • 4
  • Tracy Battaglia
    • 5
    • 6
  • James S. Michaelson
    • 7
  • Elaine Puleo
    • 8
  1. 1.Harvard School of Public Health and Dana-Farber Cancer InstituteCenter for Community-Based ResearchBostonUSA
  2. 2.Greater Lawrence Family Health CenterLawrenceUSA
  3. 3.Medical Oncology DepartmentDana-Farber Cancer InstituteBostonUSA
  4. 4.Department of Health ServicesUCLA School of Public HealthLos AngelesUSA
  5. 5.Women’s Health Unit, Section of General Internal Medicine, Evans Department of Medicine, Boston Medical Center and Women’s Health Interdisciplinary Research CenterBoston University School of MedicineBostonUSA
  6. 6.Department of MedicineBoston University School of MedicineBostonUSA
  7. 7.Pathology DepartmentMassachusetts General Hospital and Harvard Medical SchoolBostonUSA
  8. 8.School of Public Health, Department of Public Health, BiostatsUniversity of Massachusetts at AmherstAmherstUSA

Personalised recommendations